Alexandra Antolos, RD in Philadelphia, PA - Medicare Dietitian, Registered Provider

Alexandra Antolos, RD is a medicare enrolled "Dietitian, Registered" provider in Philadelphia, Pennsylvania. Her current practice location is 475 Spring Ln, Philadelphia, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at (215) 482-5353.

Alexandra Antolos is licensed to practice in Pennsylvania (license number DN006695) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1598317315.

Contact Information

	Alexandra Antolos, RD
	475 Spring Ln, Philadelphia, PA 19128-3918
	(215) 482-5353
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Alexandra Antolos
Gender	Female
Speciality	Dietitian, Registered
Location	475 Spring Ln, Philadelphia, Pennsylvania
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1598317315
Provider Enumeration Date: 07/11/2019
Last Update Date: 07/11/2019

Medicare PECOS Information:

PECOS PAC ID: 0840660684
Enrollment ID: I20230112000199

Medical Identifiers

Medical identifiers for Alexandra Antolos such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1598317315	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
133V00000X	Dietitian, Registered	DN006695 (Pennsylvania)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Alexandra Antolos allows following entities to bill medicare on her behalf.

Provider Name	Andersons Nutrition
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1396221347 PECOS PAC ID: 7810252699 Enrollment ID: O20180525001877

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Alexandra Antolos is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Alexandra Antolos, RD 475 Spring Ln, Philadelphia, PA 19128-3918 Ph: () -	Alexandra Antolos, RD 475 Spring Ln, Philadelphia, PA 19128-3918 Ph: (215) 482-5353

Reviews and Comments

Dietitian, Registered in Philadelphia, PA

Nutriwell Llc Dietitian Medicare: Not Enrolled in Medicare Practice Location: 4055 Ridge Ave, 3608, Philadelphia, PA 19129 Phone: 267-760-7778
Ms. Melissa Wadolowski, RD, LDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 2723 Almond St, Philadelphia, PA 19134 Phone: 631-897-3294
Gal Shua-haim, Dietitian Medicare: Not Enrolled in Medicare Practice Location: 350 S 15th St, Philadelphia, PA 19102 Phone: 215-867-9424
Norman Robert Hansen, RDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 861 Glenn St, Philadelphia, PA 19115 Phone: 215-900-0440
Carol Buhrman, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 3900 Woodland Ave, Philadelphia, PA 19104 Phone: 215-823-5800
Kaitlin Poillon, RDN, LDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1601 Cherry St Fl 2, Philadelphia, PA 19102 Phone: 215-553-7012
Ashley Sakenas, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1512 South St, Philadelphia, PA 19146 Phone: 215-559-1019

Alexandra Antolos, RD - Medicare Dietitian in Philadelphia, PA